How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $50.12 | Facility | None | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | None | $45.71 | $45.71 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $51.29 | Facility | None | $29.51 | $34.67 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $51.29 Typical High $169.82 | Professional | None | $15.14 | $51.29 | $169.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $213.80 | Facility | None | $51.29 | $93.33 | $213.80 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $69.18 | Professional | None | $15.85 | $19.95 | $69.18 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QW · Waived lab test Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | QW · Waived lab test | $26.30 | $26.30 | $26.30 |
Where West Virginia sits
The same service costs 4.5 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
West Virginia· 15th of 51
$45.71
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.